<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".17" citation="COMAR 10.09.54.17" title_num="10" subtitle_num="09" chapter_num="54" heading="Covered Services — Dietitian and Nutritionist Services.">
  <paragraph num="A.">
    <text>Dietitian and nutritionist services shall include:</text>
    <paragraph num="(1)">
      <text>The provision of nutrition care plan outcomes and approaches;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Nutrition care planning, nutrition assessment, and dietetic instruction; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Services within the scope of practice of the nutritionist's or dietitian's license, as defined by:</text>
      <paragraph num="(a)">
        <text>Health Occupations Article, Title V, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Regulations under COMAR 10.56 for the Board of Dietetic Practice.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Dietitian and nutritionist services may not include services rendered:</text>
    <paragraph num="(1)">
      <text>On a group basis or in a classroom setting; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To participants residing in a licensed assisted living facility.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The services shall be:</text>
    <paragraph num="(1)">
      <text>Covered if the participant's medical condition requires the judgment, knowledge, and skills of a licensed nutritionist or licensed dietitian;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Targeted to the individualized needs of the participant, rather than being of general interest;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Sensitive to the educational background, culture, religion, eating habits and preferences, and general environment of the participant; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Specified in the participant's plan of service as necessary to:</text>
      <paragraph num="(a)">
        <text>Ensure the participant's health and safety; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Prevent the participant's institutionalization or hospitalization.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The initial assessment and counseling following a rehabilitative or hospital stay shall be performed in person.</text>
  </paragraph>
  <paragraph num="E.">
    <text>If family members are unable to participate fully in the service when delivered via telehealth, the provider shall perform the service in person.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Except as provided in §§D and E of this regulation, dietitian and nutrition services may be rendered via telehealth.</text>
  </paragraph>
</regulation>